The management of blood volume with no-bypass in liver transplantation for primary liver cancer

Objective:To investigate anesthetic management of blood volume during suprahepatic venacavaplasty in liver transplantation for primary liver cancer.Methods:General anesthesia with tracheal intubed was conducted in 52 patients liver cancer undergoing liver transplantation.Hemodynamics,blood gas,biochemistry,coagulation function,temperature,urinary output and bleeding output were monitered.According to the different characteristics of the each phase of operation and results of the hemodynamics and blood gas,kind and amount of fluid were administered in the low central venous pressure with small dose of dopamine administered.Results:The hemodynamics was kept stale.pH value and BE had obvious changes.Lactic acid decreased during liver incision and increased during anhepatic and neohepatic phase.Urinary output during anhepatic period was maintained,serum creatinine(Cr)concentration was increased during neohepatic phase.Conclusion:There are profound changes during suprahepatic venacavaplasty in liver transplantation.The management of blood volume in the low central venous pressure with small dose of dopamine contiunously administered may maintain effective blood volume and stable circulation and improve renal function.